Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $2,620.48 / $3,164.00	Facility		$528.58	$2,620.48	$3,164.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $642.96 / $1,552.50	Professional		$636.59	$642.96	$1,552.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $528.58 / $636.59	Professional		$528.58	$528.58	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $810.75	Professional		$636.59	$636.59	$810.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $1,620.00	Professional		$636.59	$636.59	$1,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $674.79	Professional		$636.59	$636.59	$674.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $564.65 / $564.65 / $564.65	Professional		$564.65	$564.65	$564.65